Morphological signs of gastric ulcer during exacerbation. Signs of exacerbation of gastric ulcer

Signs of stomach and intestinal ulcers are varied and do not appear immediately or at the same time. The first characteristic signs of manifestation similar diseases begin at an early stage and are mistaken by many people for non-serious functional disorders of the digestive system. At an early stage, the symptoms are vague, many signs are similar, but quick cure It is still possible if the disease is diagnosed in time. The long process of disease development initially manifests itself occasionally, episodically, approximately 1-2 times a year. The future patient of the gastroenterologist, without paying special attention to this, does not seek medical help, although the general deterioration of the condition is progressing constantly and steadily, and this is associated with the defeat of more and more new areas.

An irresponsible attitude towards one's health leads to signs of an ulcer duodenum or the stomach acquire a pronounced character, and a stage of the disease begins at which it is no longer possible not to react. Inflammation of the mucous membrane leads to permanent and acute pain in the epigastric region, indigestion, discomfort, deterioration general condition. In order to prevent serious damage to organs, you need to see a doctor at an early stage in order to undergo diagnostics and determine what is still possible. successful treatment. The longer the moment of making a decision is delayed, the more irreversible the consequences of delay will be.

Early manifestations

At an early stage, when the symptoms of a stomach ulcer resemble external signs gastritis, which occurs in approximately 35% of adults, the pathology manifests itself as follows:

• pain after eating in the epigastric region with radiation to the back, lower back, chest;
• pain at night;
• pain from hunger several hours after eating (“hunger” pain);
• negative sensations 1 and 2 hours after eating (“early” and “late” pain).

Continuous signaling of receptors is reinforced by accompanying, extremely negative sensations in the form of nausea that occurs without apparent reason, often unrelated to food intake, spontaneous, often in the morning when the stomach is empty. Gagging and vomiting occur later a short time after meal. A direct relationship with the process of eating food causes loss of appetite, lack of desire to eat previously favorite foods, concomitant loss of body weight, deterioration appearance. All this is accompanied by impaired peristalsis, increased gas production, bloating, constipation or diarrhea, and a violation of the frequency of natural bowel movements. A reasonable person with such symptoms already understands the need to see a doctor.

Availability constant pain causes character changes: a person withdraws into himself, constantly listens to inner sensations, becomes hot-tempered and irritable. The disease becomes chronic, but its diagnosis is sometimes complicated by the absence of pain or its uncharacteristic manifestation, which is mistaken for symptoms of another lesion. They begin to treat it, often on their own, and the use of medications in such cases only aggravates the overall clinical picture.

Initial stage of the disease

At the early stage of a duodenal ulcer, the symptoms are superficially similar to the same stomach disease. A specialist can determine the location of the lesion based on the differences that appear in the symptoms:

• pain is observed only on an empty stomach, which leads to night meals to relieve the symptom;
• when pressing on the stomach a person experiences painful sensations;
• characterized by frequent sour belching, accompanied by heartburn;
• vomiting is observed with blood, and later blood clots appear in the stool.

The intensity of pain can vary depending on the degree, location, and pain threshold of the patient. Seasonal exacerbations are characteristic, which become habitual and expected, which causes personal changes. A person becomes a hypochondriac, begins to treat himself with increased attention, demand the same from others, constantly listens to his feelings, and often falls into depression. This is due to indigestion, accompanied by heartburn, belching, nausea, and vomiting.

Intestinal ulcers are characterized by constant heartburn, sometimes simply unbearable, causing burning pain and smelling like rotten eggs or recently eaten food. All this leads to high fatigue, sensitivity to the weather, sometimes hysteria and self-obsession. There is no loss of appetite, as with a stomach ulcer; on the contrary, it is increased, because the feeling of hunger causes pain, which food can soothe.

Similarity external manifestations ulcers of the stomach and intestines at an early stage sometimes cause difficulty in localizing the lesion. In the absence of appropriate treatment, which includes diet, the symptoms change somewhat and progress, indicating an exacerbation stage.

Symptoms of exacerbation

Untimely assistance, irresponsible attitude towards health digestive system cause exacerbation of stomach ulcers, and symptoms usually require seeking medical advice. During this period, the pain intensifies, becomes unbearable, and is accompanied by negative manifestations. It can hurt between the shoulder blades and in the lower back.

Atypical painful manifestations accompanied by belching, nausea, vomiting, heaviness in the abdomen, general weakness, increased sweating. Clinical picture may be individual, with the absence of some symptoms, but the main signs, including stool disorders, indicate a pathology of the digestive organs. When trying to survive an exacerbation, which usually occurs in the fall or spring, you can wait until life-threatening complications arise:

• destruction of the stomach wall (penetration);
• holes in the wall of the stomach (perforation);
• development cancer(malignancy);
• bleeding;
• pyloric stenosis (narrowing of the narrow part of the stomach, up to complete failure from eating food that delivers discomfort).

Treatment of exacerbation of the disease, depending on the degree of its severity, can be inpatient, surgical, medicinal and dietary, strictly under the supervision of a doctor.

Duodenal ulcer

With an exacerbation of a duodenal ulcer, pain symptoms are characterized by the same intolerance and intensity as with a stomach ulcer. There is a sharp change in the sensations of taste buds, heartburn, nausea, vomiting, constipation, a grayish coating on the tongue, and a fairly frequent increase in temperature. A nagging pain may occur under the right rib.

A characteristic sign is an aversion to dairy products, fruits, increased appetite, caused by the desire to get rid of pain by eating, weight loss is observed, constipation may be replaced by loose, foul-smelling stools. Lesion of the duodenum, which is not treated, can lead to:

• digestive system disorders;
• inflammation of the pancreas;
• stagnation of bile;
• gallstones;
• liver dysfunction;
• ulcer bleeding with an accompanying drop in blood pressure.

Symptoms of exacerbation of gastric and duodenal ulcers are similar, but also resemble cholecystitis, myocardial infarction, cholelithiasis, and pancreatitis. An exacerbation of an ulcer can be caused by reasons that can only be treated in a hospital setting or on a surgical table (bleeding, perforation, perforation). Independent selection of medications, replacement of some drugs with others, violation of diet or incorrectly selected food restrictions can only aggravate the situation and create a threat to life. Such conditions should only be treated under the supervision of a specialist.

Stomach ulcers are a common disease on the planet. The difficulty is chronic nature diseases. People suffering from ulcers need to completely change their lifestyle so as not to provoke an exacerbation. In order not to suffer from an ulcer for life, to prevent the development of the disease, it is recommended to regularly preventive measures, perform examinations. But due to the intensity modern life Few people think about such an approach. As a rule, a person tries to take action when the disease has already begun to progress. In such a case, it is no longer possible to cure the disease.

An ulcer is not a death sentence; if you know the specifics of the disease, you can control the pathology. The ulcer proceeds in a cyclical manner: times of exacerbation alternate with times of rest. If a person suffers from a disease, it is necessary to know thoroughly about the types of exacerbation.

Peptic ulcer acute stage

Symptoms of exacerbation of ulcers

The disease tends to occur with seasonal exacerbations. The causes of exacerbation of ulcers are of interest to patients. Name exact reason Doctors can't. The human body is individual, external factors act on patients individually. In one patient, the manifestation of the disease is due to increased acidity. The second one develops pressure due to physical activity. But seasonal exacerbation certainly comes to those suffering from ulcers.

The main task is to recognize the oncoming exacerbation in time. Often diseases have quite similar symptoms. The similarity with a stroke is especially pronounced. The first signs indicating a suspicion of exacerbation of an ulcer:

• Severe pain in the upper abdomen;
• Constant heartburn;
• Nausea progressing to vomiting.

If a person suffering from a disease experiences the first symptoms of this type, a signal is given for an urgent visit to the attending physician. You should not postpone your visit, an acute stomach ulcer is dangerous, it is better to get examined. In some situations it is required urgent hospitalization, Adoption urgent measures. If a person has doubts about an exacerbation of an ulcer, a visit to the hospital is mandatory for any of the listed signs.

Stages of the disease

People suffering from stomach ulcers should know that the disease has a number of stages:

1. Exacerbation, expressed in a mild form. Occurs once every two years. The exacerbation occurs without complications and is blocked quickly, for a period of a week. In the next week of intensive treatment, the signs disappear, the ulcer heals and stops bothering the person. This happens when you follow doctor’s orders, therapy in the hospital and at home.
2. Moderate exacerbation. If the peptic ulcer is of a moderately complex form, in such cases exacerbation occurs at least twice a year. Accompanied by severe symptoms that persist until three weeks, if the treatment is carried out correctly and the instructions are followed. The difficulty lies in the effect of inflammation on the stomach tissue, sometimes bleeding occurs. A person needs to change his lifestyle.
3. Exacerbation expressed in a severe stage. When a severe form of exacerbation occurs, recurrences occur more than twice a year. The symptoms become catastrophic. Great loss weight of the patient, bleeding, perforation of the ulcer, degeneration of the ulcer into oncology. In such a case, each step is coordinated with the doctor in order to avoid dangerous consequences.

Treatment of exacerbation of ulcers

If there is a suspicion that an exacerbation has occurred, measures must be taken. Urgent hospitalization will be required. In the case of severe disease, treatment of the ulcer occurs strictly under the supervision of a doctor; the severity does not matter. The diet is being revised. A strict diet is necessary from day one. The main thing is to observe the prohibitions and prescriptions.

Prohibited products:

• Hot, spicy, smoked;
• Sour, salty, sweet and hard;
• Tea, coffee, carbonated drinks.

When choosing a diet and eating foods, follow the strict instructions of the doctor. It is important that the diet consists of boiled vegetables in a crushed form. Porridges for stomach ulcers are necessary, but not all are allowed. Regarding the types of cereals, consultation with a nutritionist and gastroenterologist is necessary.

You need to take food in small portions, on average 6 times a day. The diet is followed for at least 4 months, provided that the ulcer has healed and the gastric mucosa has been completely restored.

A new stage on the path to recovery - taking medications prescribed by a doctor, observing and performing prescribed procedures, general recommendations for maintaining a healthy lifestyle.

We will separately note selected details. If a seasonal exacerbation occurs and the person is taking special medications, the doctor is informed about this. Quite often, taking medications provides an impetus for the deterioration of health. Information about side treatment voiced to build an effective treatment plan.

Seasonal exacerbation of ulcers

The progression to acute gastric and duodenal ulcers occurs seasonally. Exacerbation occurs in autumn and spring. The steps to take during an exacerbation are described in the article. The main rule, thanks to which the condition of the body is alleviated, lies in simple instructions:

1. Review your diet;
2. Stop smoking and drinking alcohol;
3. Remove heavy ones physical exercise on the body;
4. Try to neutralize the factors that lead the body to stressful situations.

It will take a responsible approach to lifestyle changes. If the course of treatment takes place at home, it is necessary to follow the instructions of the treating doctor. Treatment must be taken seriously. Pledge successful completion therapy depends directly on the patient.

Prevention

An important purpose of prevention is to reduce blood pressure negative impact on the stomach. The culprits serious illnesses are people. The disease of a stomach ulcer, if detected, remains with a person forever. Such a disease cannot be cured, but it can be controlled. To avoid the appearance of an acute stage, it is necessary to reconsider your lifestyle and change your diet.

About nutrition - you need a strict diet drawn up by a gastroenterologist. The seasonal exacerbation and what consequences it will have for the body depend on this factor.

The next stage is changing the established daily routine. It is important to understand that proper rest is the main component that prevents stress. It has been proven that the latter often causes ulcers. It is necessary to eliminate frequent lack of sleep, human body acquires chronic fatigue, becoming the beginning of many diseases.

The third stage is important and mandatory; it consists in abandoning bad habits. This applies to smoking and drinking alcohol. Do not forget that everything described is the reasons for a possible seasonal exacerbation peptic ulcer.

When remission occurs, ideal option will get busy breathing exercises, moderate loads to the gastric region. Physical activity will help strengthen muscles, promote speedy recovery person. Loads should be in moderation. Before playing sports, it is better to consult your doctor.

People suffering from the disease are well aware of the seasonal exacerbation. It is possible to prepare the body. In order for the treatment of an acute ulcer to proceed without difficulties and complications, you will need to start drinking milk, which is considered a neutralizer of acidity. The diet should be reconsidered. If a person loves Rye bread, you should give it up for a while and switch to wheat varieties. Cook food boiled, add light soups to the menu. Try to increase your protein intake. Protein has enveloping properties and helps the mucous membrane.

A person suffering from an ulcer should not be afraid of exacerbation and consequences if taken necessary measures. The right decision There will be a consultation with your doctor who will help you choose adequate treatment, diet and prevention. In the case of an ulcer, self-medication is extremely dangerous! This approach leads to irreparable consequences: from the formation of a malignant tumor to death.

Stupid experiments on the body are pointless. IN modern world stomach ulcers can be treated positively, even in complex form. You need to take care of your health and not act rashly. Health, like life, is given to a person once; a person’s task is to preserve both gifts.

In recent decades, diseases of the digestive system have become increasingly common. The stomach is under a lot of stress due to a sedentary lifestyle and wrong mode nutrition. In addition, people use a large number of medicines, and developing food industry creates many products that are harmful to health. All this has led to the fact that signs of gastritis and stomach ulcers very often appear in people. Not only the elderly, but also young people and even children experience abdominal pain, dyspepsia, and heartburn. For many people, such symptoms have become habitual, and they do not turn to doctors, coping with them on their own. But such an attitude can lead to sad consequences. Therefore, you should not delay going to the clinic, but consult a doctor as soon as you notice signs of ulcers and gastritis.

Features of these diseases

The modern lifestyle requires a person to be more attentive to his well-being. Sometimes signs of gastritis and stomach ulcers are mistaken for a common illness or food poisoning. Why can't we ignore them? With gastritis, the gastric mucosa becomes inflamed, which is accompanied by a violation of its secretory function. This leads to disruption of food digestion. In addition to unpleasant sensations, the process can lead to a lack of nutrients in blood. In addition, without treatment, such inflammation does not go away, but only develops, because food constantly enters the stomach, irritating the inflamed mucous membrane. Gastritis becomes chronic, and if a person continues to lead this lifestyle, an ulcer occurs. This disease is protracted: periods of exacerbations are followed by remission. Some people do not even experience symptoms of a stomach ulcer at this time. Its signs appear only during exacerbations. But without treatment, the ulcer can develop serious complications, including cancer.

Causes of stomach diseases

— Chemical poisoning.

- Uncontrolled use of medications, especially Aspirin, anti-inflammatory drugs and antibiotics.

- Bad habits - drinking alcohol and smoking.

— Incorrect diet: overeating or eating at night, poor chewing or eating dry food.

- Eating very hot or cold food, spicy seasonings, fried foods and semi-finished products.

— Often signs of gastritis and stomach ulcers appear already in at a young age because of hereditary predisposition.

— Sometimes inflammation of the mucous membrane occurs due to intoxication due to kidney disease.

All these reasons have been identified by scientists for a long time, but sometimes it happened that signs of gastritis and stomach ulcers were found even in healthy people who ate properly. And at the beginning of the 21st century, the main cause of mucosal inflammation was discovered.

What causes gastritis and ulcers

Scientists have discovered a special bacterium that can live in the gastric mucosa. It is very tenacious and causes many problems. They called it Helibacter. It turned out that this microorganism is present in the body of 90% of people, but not everyone gets sick. Its activity is successfully suppressed by strong immunity. But under stress, overwork or decreased protective forces body Helicobacter pylori activated and causes inflammation. If you do not pay attention to this and begin to treat it, the bacteria eats away the walls of the stomach and an ulcer occurs. After all, it has long been noticed that ulcers worsen more often in those who are nervous, overtired and do not get enough sleep. Therefore, you need to know how these diseases manifest themselves in order to start treatment on time.

Gastritis - signs

The symptoms of this disease are known to many, although they are sometimes mistaken for dysbacteriosis or food poisoning. It is especially difficult acute gastritis, but it is precisely because of this that patients in most cases receive medical care. And if the disease is chronic or almost asymptomatic, often the necessary therapy is not carried out. Therefore, you need to know what kind of disease this is - gastritis, its signs, symptoms and treatment methods. How do you know that a person is sick?

— Aching or sharp pains appear in the upper abdomen, they can calm down after eating, but it happens the other way around.

— Constant nausea, especially in the morning and after eating, there is often vomiting, belching or heartburn.

- Sometimes there is decreased appetite, flatulence and bloating. After eating, there is a feeling of heaviness and fullness in the stomach.

— Often this is accompanied by an intestinal disorder - diarrhea or constipation.

— In advanced cases, when the body lacks nutrients due to malabsorption, there may be weakness, low blood pressure, irritability and palpitations.

But the patient himself cannot always recognize the signs of gastritis of the stomach. Symptoms may not be obvious, especially if chronic course. Moreover, there are several types of the disease, and in many cases the diagnosis can only be made by a doctor after a special examination.

Types of gastritis

This disease has been widespread for a long time and has been well studied by scientists, so there are many types of gastritis. But most often it is divided by function gastric juice:

1. Gastritis with normal acidity. In this case, gastric secretion is not impaired, only inflammation of the mucous membrane is observed due to exposure chemical substances or bacterial infection.

2. Gastritis with high acidity is common. This may be due to a passion for foods that stimulate the production of gastric juice, or certain medications. This form is characterized by frequent heartburn, sour belching, constipation and nagging pain in the stomach at night or when hungry.

3. Gastritis with low acidity can be recognized by frequent nausea, especially in the morning, decreased appetite, flatulence and unpleasant aftertaste in the mouth. While eating, a feeling of fullness in the stomach quickly arises.

When can gastritis develop?

Nowadays stomach diseases are much younger. Increasingly, you can find signs of gastritis in a child, even in preschool age. This can be explained not only by the deterioration environmental situation. Early refusal breastfeeding and the introduction of complementary foods have a negative impact on the health of the baby’s stomach. In a child, the final formation of the digestive system ends at the age of seven. Before this, all infections, colds, helminthic infestations, stress and errors in nutrition greatly affect it and cause disruptions in its work. The signs of gastritis in a child are slightly different from those observed in adults. Young children may simply refuse to eat and become moody and irritable. An older child experiences severe abdominal pain that gets worse after eating.

Symptoms of a stomach ulcer

Its symptoms are a little similar to gastritis, but there are some peculiarities. Pain most often occurs some time after eating and goes away after taking antacid medications. The pain may radiate to the back and spread throughout abdominal cavity. As with gastritis, nausea and vomiting, abdominal pain, loss of appetite and flatulence are observed. But ulcers are not characterized by fever, diarrhea and dizziness. These are signs of poisoning or infection.

Ulcers are characterized by periods of exacerbation, most often in spring and autumn. They can last up to two months, and remission sometimes lasts several years. At this time, even traces of the ulcer are not observed, and then it appears again. Its development is provoked by stressful situations, decreased immunity, prolonged fatigue and taking certain medications.

Why is an ulcer dangerous?

Sometimes signs of ulcers and gastritis do not appear, and the patient does not receive timely treatment because he doesn't see a doctor. But even an asymptomatic course of the disease is very dangerous. After all, an ulcer is not just an inflammation of the mucous membrane, it is its destruction. It does not go away on its own, and in order to avoid complications, you need not only to take the medications prescribed by your doctor, but also to change your lifestyle. After all, this disease is dangerous due to its consequences. What complications can arise from an ulcer?

1. Bleeding occurs very often. They can be hidden, which are manifested only by blood in vomit or stool, weakness and other symptoms of blood loss. In this case, anemia develops. If the bleeding is severe, the patient needs immediate medical attention.

2. Sometimes with an ulcer, stenosis is observed - a narrowing of the lower part of the stomach. It manifests itself with vomiting, a feeling of heaviness in the abdomen and frequent belching.

3. The most dangerous consequence of an ulcer is perforation, or its perforation, which can cause the death of the patient in a short time. Therefore, everyone who suffers from this disease needs to know the signs of exacerbation of a stomach ulcer in order to take timely measures, follow a diet and take medications.

4. Ulcers can also cause stomach cancer. Its first symptoms do not cause much concern: changes in taste, weight loss, dull pain in the abdomen.

Perforation

This is the most common complication of this disease and can lead to death. If an ulcer is not treated, it eats away at all layers of the stomach wall. And through this hole the contents are released into the abdominal cavity. This leads to peritonitis, which can cause death within a short time. Signs perforated ulcer stomach is difficult to confuse with something. The main symptom is acute, very strong pain in a stomach. Patients describe it as a blow from a dagger. The pain does not subside, but only increases. And it gets worse with coughing, any movement, and even deep breath. In addition, there are signs of bleeding: vomiting blood, weakness, dizziness and tinnitus. Hydrochloric acid and other stomach contents cause inflammation of the peritoneum.

Treatment of stomach diseases

Although the symptoms of gastritis and stomach ulcers differ, the basic principles of treatment are common. The most important thing is to eliminate the cause of inflammation, and it can be determined after medical examination. What methods are used to treat these diseases?

— Lifestyle changes: quitting smoking, alcohol, following a daily routine and avoiding stressful situations.

— Particular attention should be paid to diet. You need to eat often and in small portions. Eliminate everything fried, fatty, spicy and pickled from your diet. Canned food, sauces, baked goods, concentrated broths, smoked foods and coffee are not allowed. Bread, grapes, sour cream and strong tea can cause complications.

- You must take medications prescribed by your doctor. For ulcers, 3-4 drugs are usually prescribed simultaneously (these are Cimetidine, Nisotidine, Likvirshpon, Flacarbine, Almagel, vitamins E and B1, etc. in various combinations).

— To alleviate the patient’s condition, folk remedies, physiotherapy and sanatorium-resort treatment are often used.

Traditional methods

Any symptoms stomach diseases Herbs can help remove. You can simply brew them with boiling water, but to make the action more effective, there are several unusual ways:

- Add 2 tablespoons of thyme herb to 0.5 liters of white wine and refrigerate for a week. Then boil for a few minutes and strain. Take 2 teaspoons of infusion before meals.

— You can make a decoction of chamomile, yarrow and celandine in milk. Infuse the herb for a couple of hours and then drink it throughout the day.

— The most effective infusions obtained in a thermos. So, you can make medicine from chamomile with flax seeds, elecampane or licorice root.

Beekeeping products help very well with inflammation of the gastric mucosa:

— You need to eat 10 grams of propolis every day for a month. It is very important to chew it thoroughly.

— A medicine made from sea buckthorn with honey is effective. You need to boil 3 tablespoons of berries in a glass of water for 10 minutes and add 3 tablespoons of honey. Drink half a teaspoon of infusion in the morning on an empty stomach.

- Even ordinary warm water with a spoonful of honey dissolved in it will help make the signs of stomach ulcers in adults less obvious.

A stomach ulcer is a serious and, in some cases, life-threatening pathology that causes irreversible structural changes gastric wall. The disease is characterized by cyclicality - exacerbations and stages of remission. Relapses usually occur in the autumn-spring period. Timely treatment will help avoid the dangerous consequences of the disease.

There is only one reason why an ulcer forms in the stomach - a violation of the integrity of its mucous membrane. Modern medicine There are many known factors that provoke and aggravate this process:

1. Increased acidity of gastric juice, which appears as a result of: prolonged stressful situations, excessive consumption of alcoholic beverages and coffee, smoking, genetic predisposition.

2. Dietary disorders: irregular meals, unbalanced diet, long-term starvation diets.

3. Taking certain medications (Ibuprofen, Prednisolone, Aspirin, Diclofenac).

4. Chronic inflammation stomach.

5. Mechanical damage the gastric mucosa with rough food.

The presence of the bacterium Helicobacter pylori in the body, according to most scientists, causes a significant portion of the occurrence and recurrence of peptic ulcer disease. This microorganism colonizes the gastric mucosa and makes it sensitive to acid.

Seasonal autumn-spring exacerbations are associated with a general decrease in immunity (especially in spring) and changes in diet. Colds, characteristic of the off-season, require treatment with drugs that negatively affect the condition of the gastric mucosa.

Acute and chronic ulcer

Acute ulcers are almost always symptomatic (secondary). They appear in the background severe stress, allergies, long-term drug therapy, hormonal disorders; develop rapidly and affect large areas of the stomach. They are usually multiple and superficial.

Chronic ulcers form gradually. This process sometimes fades, and the affected area begins to scar. Then under the influence unfavorable factors exacerbation of peptic ulcer occurs. The main causes of relapse are similar to those that cause primary manifestation pathology. Remission can last quite a long time. During this time, the ulcer sometimes closes completely, forming a scar that deforms the gastric wall. During the period of exacerbation, the ulcerative defect opens or appears in a new place (often nearby).

Signs of illness

The first and most pronounced symptom of exacerbation of stomach disease is the appearance of pain:

• constant or periodic;
• strong or insignificant;
• aching, cutting, burning;
• hungry (occurring during long breaks between meals);
• night;
• associated with food intake (before or after).

The characteristics of unpleasant sensations depend on the following circumstances:

• duration of the disease;
• patient's age;
• the presence of concomitant diseases (gastritis, diabetes mellitus);
• individual pain threshold;
• location of the ulcer.

What to do if severe pain occurs?

Severe discomfort in the epigastric region is characteristic not only of gastric ulcers. Sometimes they are a symptom of a developing heart attack, gastritis, duodenitis or even appendicitis. Sharp dagger pain - typical sign perforation of the ulcer. In such cases it is necessary to call ambulance. Considering these facts, it is very dangerous to relieve pain of unknown etiology (cause) at home, especially if it is accompanied by an increase in temperature. This can only be done if a diagnosis has been established.

Patients who have suffered from gastric ulcers for several years are well acquainted with the nature of the pain associated with this pathology. The medicine cabinet of such people usually contains drugs intended to relieve an attack. If this is not the case or circumstances do not allow you to take painkillers (Almagel A, No-shpa), you can make do with improvised means.

Sometimes it is enough to drink a glass of warm water and lightly massage the stomach area. Hunger or night pain requires eating. An attack accompanied by nausea will pass if you induce vomiting. You can eliminate discomfort by placing a hot heating pad on the stomach area or taking a warm bath.

Folk remedies

Diseases of the digestive system and their symptoms have been known to mankind since ancient times. Over the years, people have found many ways to deal with them. Ingredients for preparing healing potions can be found in every home.

1. Liquid oatmeal (or potato starch) jelly and flaxseed decoction have an enveloping property, protect the gastric mucosa and relieve pain. Take small portions throughout the day.

2. Honey dissolved in warm water(boiled), with the addition alcohol tincture propolis (40-50 drops per glass of water) relieves inflammation.

3. Sea buckthorn and olive oil reduce the acidity of gastric juice and promote scarring of ulcers (1 tsp on an empty stomach).

4. Potato juice relieves pain well. Take before meals (0.5 cup).

5. Juice white cabbage normalizes acidity.

6. Infusion fresh leaves plantain (pour boiling water over 1 cup of leaves and leave for 2 hours). During an exacerbation of the disease, you can drink it in any quantity, both before and after meals.

Traditional medicine, of course, helps to cope with exacerbations, but it is better to use it as a preventive measure or as an addition to traditional treatment.

Drug treatment

Medicines and their dosage are prescribed by the doctor after instrumental examination(endoscopy) and laboratory tests. You should not self-medicate. This can lead to delays at best. healing process and at worst, provoke irreversible consequences.

Treatment of peptic ulcer disease in the acute stage has several goals:

• decreased acidity of gastric juice;
• relieving inflammation;
• protection and support of the mucous membrane;
• destruction of Helicobacter pylori bacteria;
• pain relief.

The duration of treatment depends on the symptoms and neglect, the intensity of pain, the patient’s age and aggravating factors (smoking, stress and much more). It is possible to draw conclusions about scarring of the ulcer and the onset of remission only on the basis of repeat endoscopy.

It is not so difficult in the future to identify the signs of a new attack and consult a doctor in time. A visit to a specialist is the only acceptable option, says gastroenterologist Inna Burkova. From her practice, 80% of patients who came to the surgeon’s table with complications self-medicated or ignored the attacks. The rest are mainly people with additional risk factors: with 15-20 years of illness, elderly, weakened by others chronic diseases, heavy smokers.

What triggers an attack of peptic ulcer of the stomach or duodenum?

A middle-aged person suffering and undergoing therapy during exacerbations has virtually nothing to worry about.

If symptoms similar to an exacerbation of a stomach or duodenal ulcer bother you for the first time, you should not engage in self-diagnosis. After all, the signs of an ulcer are very easy to confuse, for example, with pancreatitis or cholecystitis.

Drug treatment for exacerbation of gastric ulcer

Diet for exacerbation of gastric and duodenal ulcers

Exacerbation of gastric and duodenal ulcers: prevention

Spring and autumn are the favorite seasons for peptic ulcer disease and during these periods it costs special attention monitor your health. Those who have it usually consult a doctor for a preventive course antiulcer drugs or mineral waters. It is necessary to try to avoid stress (geneticist Alexander Kolyada spoke about this in detail in the article), reduce physical activity and adhere to a preventive diet.

Here are a few more general rules, .

1. Healthy sleep(it is always appropriate): try to go to bed at the same time, sleep at least eight hours a day, avoid at night.
2. To prevent the ulcer from worsening, it is necessary to give up bad habits (and this is not only alcohol, but also smoking).
3. Try to eat more mushy and liquid foods.
4. It is recommended to avoid going to a Chinese restaurant or: fatty and spicy food you don't need it.
5. The habit of fractional meals will help to avoid stomach and duodenal ulcers.
6. Try to eat slowly, chewing thoroughly. It is better to organize meals in such a way that you do not feel hungry - with breaks of three to four hours.
7. Walking after eating will help avoid heaviness and belching.
8. To prevent stomach ulcers, the daily intake of meat and fish should not exceed 150-200 g, and fat (including plant origin) - 30-40 g.
9. Smoked, fried and pickled dishes would be better replaced.
10. and, which contain non-acidic dairy products will also help avoid relapses of exacerbation of stomach and duodenal ulcers.

An acute stomach ulcer occurs suddenly and is accompanied by severe pain and possibly bleeding.

Who is at risk?

Stomach ulcers are provoked by several factors.

Reduction and thinning of the protective mucous lining of the stomach, usually caused by:

• infection with the bacterium Helicobacter Pylori;
• long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen in excess of the recommended dosage;
• Zollinger-Ellison syndrome, rare disease, in which excess stomach acid is produced.

With peptic ulcers, periods of remission are replaced by exacerbations. Relapses are repeated constantly. During the period of deterioration of the condition, which usually occurs in the autumn-spring period, tissue scarring occurs at the site of ulceration.

No one is immune from exacerbation of peptic ulcer disease, but there are some factors and errors in the behavior of patients that serve as an impetus for more high risk development of acute gastric ulcer.

This is primarily facilitated by:

• Smoking.
• Use of steroids (for example, for the treatment of asthma).
• Hypercalcemia (overproduction of calcium).
• Family history of peptic ulcer disease.
• Neglecting the recommended diet.
• Severe stress.
• Physical fatigue.
• Age over 50 years.
• Excessive alcohol consumption.

The reason may also be a change in the season of the year. More often, exacerbations occur in autumn and spring, when the body lacks vitamins and is susceptible to reactions to frequent shifts weather, pressure, upper respiratory tract infections. Doctors advise that during these seasons you should protect yourself from non-compliance with your daily routine. Get enough sleep, walk more often, try not to be nervous and be more strict about your diet. Introduce more into your diet healthy products, vitamins.

Exacerbation of gastric ulcer during the course of the disease in mild form rarely happens. This happens no more than 1–2 times a year. An attack brings anxiety, deterioration of well-being, pain and depression. Within a week, if the patient receives treatment, the symptoms decrease and the acute period gives way to remission.

If you have enough long term diseases, then deterioration of health occurs up to 2 times a year or more. Symptoms are more pronounced and last longer. Sometimes even medications and dieting do not bring relief for 2 weeks.

How does exacerbation manifest itself?

The manifestation of symptoms directly depends on the severity of the disease. With an ulcer, the most common symptom is a burning sensation or tenderness in the area between the sternum and the navel. As a rule, its intensity is greater when the stomach is empty. This condition can last from several minutes to several hours. It is difficult not to notice the exacerbation of the disease.

Signs that the ulcer has progressed to acute form the following:

1. Pain. This is the main and main companion during an exacerbation. But the pain is more acute, intense, which exhausts a person. It's hard to tolerate her.
   If the lesion is located in the cardinal part of the organ, not far from the esophagus, then It's a dull pain, feeling of heaviness in the pit of the stomach. Occurs immediately after eating and can be triggered by spicy or hot food. The patient may feel pain in the heart area, so only persistent heartburn, frequent belching indicates an exacerbation of peptic ulcer disease.
   When the mucosal wound is localized in the middle section or bottom of the organ, the pain is dull. It occurs either when there is no food in the stomach, that is, on an empty stomach, or half an hour after taking it. Belching, no heartburn. You can judge the worsening of the disease by a gray-white coating that covers the tongue with a dense layer.
   The pain is most intense if the ulcer is localized in the pyloric part of the stomach. It appears three hours after eating. The patient may complain of pain at night that occurs on an empty stomach. If you eat, the intensity of their manifestation subsides. Heartburn, belching, vomiting are signs of exacerbation.
2. Black chair. The color of stool indicates gastric bleeding.
3. Vomiting blood.

The above signs directly indicate an exacerbation of peptic ulcer disease. Possible erosive damage to the mucous membrane, but often it is an ulcer. blood vessel which is manifested by bleeding.

Exacerbation of the disease is dangerous due to the development and formation of scar tissue, which can prevent gastric contents from entering the small intestine. What to do if an ulcer worsens? What is the procedure and where to go?

First of all, you need to contact the medical care. Only a specialist can determine the severity of the condition and signs of exacerbation of the ulcer.

Therapeutic assistance

It is difficult to say an algorithm for a doctor’s sequential actions. Many factors play a role; there is no general method of therapy. It is necessary to take into account the patient’s condition, age, duration and symptoms of the disease.

Treatment and medications are prescribed by a doctor. Examine the patient and prescribe necessary examinations. If indicated, the patient is hospitalized in a hospital.

If you notice signs similar to acute manifestation peptic ulcer, do not engage in amateur activities and do not prescribe treatment for yourself. An exacerbation of an ulcer is life-threatening, as it can be complicated by perforation, and this is fraught with peritonitis. In addition, there may be other causes of pain: pancreatitis, cholecystitis and even myocardial infarction.

You can relieve symptoms and attacks if you immediately prescribe the patient a strict diet. Treatment largely depends on adherence to food intake. Little by little and often, so as not to burden the stomach. Avoid foods that are prohibited for stomach ulcers.

Treatment with medications is carried out in accordance with developed drug regimens and symptomatically. Treatment is aimed at eliminating the cause of irritation of the ulcer in the gastric mucosa and neutralizing the effect of hydrochloric acid.

Surgical treatment is rarely used if the exacerbation is accompanied by bleeding and only in critical situations:

• Perforation of the stomach wall.
• Uncontrollable bleeding in the stomach that cannot be stopped by other means.
• Obstruction in the pyloric canal due to scar formation.

Treatment is also successfully used folk remedies. Symptoms of the disease subside when prescribed mineral water, decoctions of medicinal herbs.
Preventive measures for exacerbation of peptic ulcer disease

Preventive measures must be observed even absolutely healthy people, and not just those who already have symptoms of the disease. Treating an ulcer is a tedious and long process that requires a person not only to work, but also to persist and believe in a successful outcome. What is alarming is that with an exacerbation of peptic ulcer disease, there is a high probability of dangerous situations which are fraught with bleeding.

If you adhere to certain rules in diet and lifestyle, you can not only avoid the occurrence of ulcers, but also prevent acute periods during the course of the disease.

What you need to do and what measures to take in order not to experience symptoms of a peptic ulcer:

1. Dream. Adequate rest between physical activities and nervous tension. This is very important point! Not having good rest, a person simply will not have sufficient resources to resist many ailments.
2. Finally take care of your nutrition. Stop turning your body and stomach into an “empty” container and junk food. Pay more attention to your meals. Even if you don't have the opportunity to eat regularly and healthily, consider snacking and eating at approximately equal intervals. Crackers homemade, an apple, a handful of nuts will help cope with hunger.
3. Don't put off visiting your doctor. Be a modern and responsible person. There is no need to live with blinders on your eyes. Prevention is much easier than cure.
4. The fashion for beautiful white teeth has forced many to take up dental treatment.. Did you know that by doing this you prevent the development of many diseases? In addition to chewing food thoroughly, you avoid entering the body of many infections that can cause problems with the digestive and respiratory systems.
5. Quit smoking! And regulate your relationship with alcohol.

Stomach ulcer insidious disease. It can throw a person off track in life and make him lose interest in life. The course of the disease is depressing - either remission or exacerbation. Side effect– bleeding is completely life-threatening. But everything is not so bad if you don’t give up. Pay attention to yourself, your mood, adjust your diet, and if necessary, introduce strict dietary restrictions on certain foods. You will definitely achieve results and improve your condition.

Those who are familiar first-hand with gastric ulcers know that determining the period of exacerbation of the disease is not so difficult. Characteristic symptoms are severe pain in the stomach area, which increases after eating. Typically, exacerbation occurs in spring or autumn, when a person’s immunity weakens. Some factors can also influence the occurrence of an extraordinary attack of pain. In our article we will look at what factors cause exacerbation of stomach ulcers and what measures need to be taken.

Main causes of exacerbation

Primary attacks of exacerbation of gastric ulcer are very easy to confuse with other diseases of the gastrointestinal tract. It is for this reason that at the first signs of exacerbation it is necessary to immediately seek help from a medical facility.

A person who has been suffering from a stomach ulcer for many years has absolutely nothing to worry about, provided that during an exacerbation the patient visits a gastroenterologist and follows the specialist’s recommendations. If pain is regularly ignored, the patient often ends up on operating table. Let's consider the main reasons for the development of exacerbation:

1. Weakened immunity. Sudden changes in weather conditions, vitamin deficiency. Mostly happens in the spring or autumn seasons.
2. Eating disorder. Abuse fatty foods, alcoholic drinks.
3. Overwork. Increased physical activity, heavy lifting.
4. Stressful situations. Prolonged depression and nervous situations.

First aid for exacerbation

At the first sign of exacerbation, you must call an ambulance. While waiting for the brigade, you must lie on your back and not eat food. Never apply heat or cold to the stomach, this manipulation can cause severe pain. If you are sure of your diagnosis, you are allowed to take a painkiller to relieve acute pain. To reduce pain, it is necessary to reduce the acidity of gastric juice. If you don't have it at hand necessary medications, you can refer to the methods traditional medicine, which are aimed at normalizing gastric juice.

Drug treatment

Depending on the patient’s condition, the doctor prescribes inpatient or ambulatory treatment. During an exacerbation, treatment must be carried out comprehensively, following all the recommendations of the attending physician. At significant improvement condition, the use of medications should not be interrupted under any circumstances. The fact is that some medications can completely relieve pain, but the ulcer will continue to progress. There is also a high risk of the body becoming accustomed to certain drugs. If the drug is abruptly discontinued, subsequent use will be useless, since helicobacter bacterium pylori for short time you are developing drug resistance. To prevent perforation of the ulcer, treatment of exacerbations must be carried out on time.

When an ulcer in the stomach worsens, treatment consists of the following tasks:

1. Getting rid of the causative agent of the disease. To accomplish this task, antibiotic drugs such as amoxicillin are used. After the causative agent of a stomach ulcer loses its ability to normal life exacerbations of the disease occur much less frequently.
2. Enveloping agents for speedy wound healing and normalization of the gastric mucosa. (Maalox, Almagel).
3. Reducing the level of hydrochloric acid production and normalizing acidity. To accomplish this task, antanacides are used. The drug Omeprazole or Omez has proven itself well.
4. To reduce unpleasant symptoms exacerbation of stomach ulcers, such as nausea and vomiting, the doctor prescribes the drug Cerucal in combination with antispasmodic drugs(Nosh-pa). It is especially important to take these medications when the ulcer is located in the pyloric part of the stomach.

Traditional methods of treatment

To make you feel better during an exacerbation of a stomach ulcer, use the following traditional medicine recipes:

Diet during exacerbation

In most cases, exacerbation of the disease is associated with improper diet, so it is very important to follow a strict diet during an exacerbation. The main principles of the diet are the following factors:

1. It is necessary to eat very often, but the portion should be minimal (three tablespoons). The intervals between meals are no more than four hours.
2. Despite the fact that many foods are prohibited for consumption, nutrition should be complete.
3. In addition to food, the volume of daily fluid is at least two liters.
4. Ready-made meals should have a porridge-like consistency so as not to irritate the delicate mucous membrane of the stomach.
5. For the time being, diets should be prohibited following products: spices, seasonings, sauces, salt, smoked meats, fatty meats, fatty broths, fresh vegetables and fruits, drinks containing gas, smoking, alcohol.
6. The basis of nutrition consists of the following products: chicken meat, vegetables after heat treatment, cereals, pasta from durum wheat, dairy products, decoctions and infusions of medicinal herbs.

Recipes for exacerbation of stomach ulcers

So as not to rack your brain every day over the question of what to cook for lunch for someone with an ulcer?